Intermountain Health Sanpete Valley Hospital
1100 South Medical Drive, Mount Pleasant, UT 84647 · 114 Priced Procedures · 77% Patient Recommendation
Typical commercial prices here are +244% above the fair benchmark (3.44×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Intermountain Health Sanpete Valley Hospital prices routine shoppable procedures near 5.2× Medicare (p50 2.91×) while skewing captive emergency, lab, and upper-quartile codes to 8.9× Medicare (p75 5.10×, +75% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.72× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 84% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 77% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (94.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Captive ER (1.6×) & laboratory (1.7×) services average 1.71× higher multiples than routine shoppable care (5.2×)
- Upper-quartile procedures (Q75 5.10×) jump +75% above the median procedure ratio (Q50 2.91×)
- Unnegotiated chargemaster list prices average 9.5× Medicare (28¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Intermountain Health Sanpete Valley Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $6,070 | 18.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,710 | unverified |
| Trauma team activation HCPCS Code: G0390 | $4,233 | 2.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,643 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,358 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,183 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,981 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $2,909 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $2,572 | 0.9× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $2,403 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $2,327 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,272 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,278 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,111 | unverified |
| CT scan, pelvis CPT Code: 72192 | $2,067 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,930 | 2.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,864 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,863 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $1,836 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,784 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,777 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,589 | 1.3× |
| CT scan, sinuses CPT Code: 70486 | $1,578 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,536 | unverified |
Audit a Bill or Quote at Intermountain Health Sanpete Valley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $216
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (94.3% of gross = $216).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Intermountain Health Sanpete Valley Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,432).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (94.3% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (85 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Intermountain Health Sanpete Valley Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.